Vocabulary for EhrCompositionName

 

Description:

Set of composition names based on a superset of types already in use.

 

Note that if events such as repeat prescription issue, investigation requests, report filing occur within a consultation the entire interaction is recorded in a composition with the name applicable to that type of consultation note. The specific prescription issue, report and request compositions are intended for use only where these interactions occur without a direct patient contact or separated in time from such a contact.

 

Values:

Version:

01

Date:

10th May 2004

 

Default OID:

The default OID for the SNOMED CT code values below is: 2.16.840.1.113883.6.96

 

Code

Description

Note

24561000000109

A+E report 

 

37361000000105

Additional note 

 

37351000000107

Administration note 

 

37351000000107

Administration Note 

 

37341000000109

Alert note 

 

37331000000100

Comment note 

 

15611000000104

Diagnosis 

 

37321000000102

Community Nursing Note 

 

24571000000102

Community Nursing Report 

 

25561000000105

Data transferred from other system 

A composition that originates from a data conversion from a legacy system where specific compositions cannot be identified.

24581000000100

Day Case Report 

 

25571000000103

Discharge Report 

 

24591000000103

Other report 

An identifiable composition that has a name that that is not the same as or a subtype of any specified composition name. The originalText element specifies a title for the composition.

25581000000101

Discharge Summary Report 

 

37311000000108

Out of Hours, Non Practice Note 

 

37301000000106

Emergency Consultation Note 

 

37281000000105

Out of Hours, Practice Note 

 

37291000000107

Externally Entered Note 

A note entered from outside the practice organisation.

24601000000109

Radiology Request 

 

25591000000104

Follow-up/Routine Visit Note 

 

25601000000105

G.O.S. 18 Report 

 

24611000000106

Radiology Result 

 

25611000000107

Referral Letter 

 

24621000000100

Health Authority Entry 

 

25631000000104

Health Visitor Note 

 

25621000000101

Repeat Issue Note 

 

25641000000108

Health Visitor Report 

 

24631000000103

Residential Home Visit Note 

 

25651000000106

Home Visit Note 

 

24641000000107

Investigation Result 

 

25661000000109

Social Services Report 

 

24651000000105

Hospital Admission Note 

 

24661000000108

Hospital Inpatient Report 

 

25671000000102

Surgery Consultation Note 

 

25681000000100

Hospital Outpatient Report 

 

25691000000103

Telephone call from a patient 

 

25701000000103

Hotel Visit Note 

 

24671000000101

Telephone call to a patient 

 

25711000000101

Initial post discharge review 

 

24681000000104

Telephone Consultation 

 

24691000000102

Laboratory Request 

 

24701000000102

Laboratory Result 

 

25741000000100

Third Party Consultation 

 

25731000000109

Mail from patient 

 

37271000000108

Twilight Visit Note 

 

24711000000100

Mail to patient 

 

24721000000106

Acute Visit Note 

 

24881000000103

NHS Direct Report 

 

25751000000102

Children's Home Visit Note 

 

25761000000104

Night Visit Note 

 

24731000000108

Clinic Note 

 

25771000000106

Night visit practice note 

 

25791000000105

Community Clinic Note 

 

25781000000108

OOH Report 

 

24741000000104

Night visit, deputising service note 

 

25801000000109

Night visit local rota note 

 

109341000000100

GP to GP communication transaction 

An artificial composition of components created to hold components that do not belong to a specific encounter or other identifiable composition when generating an EHR Extract message.

24751000000101

Nursing Home Visit Note 

 

25811000000106

OOH Attendance Note